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This article is the fifth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead aVF I dug myself quite a hole on this one as there’s really not much to say about aVF. It’s located midway between leads II and […]

This article is the fourth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead aVL Today’sÂ review is going to be light on textÂ (but heavy on EKG’s) to make time for Wednesday’s big post on aVR. It also helps that […]

This article is the third in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead III Lead III is great at identifying STEMI’s.Â In patients presenting with signs and symptoms concerning for ACS but no clear ischemia on the initial ECG, it’s […]

This article is the second in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. The Lead II Sign Yesterday, we covered the lead I sign, so it’s only fitting that we discuss the lead II sign today. It’s a commonly […]

This article is the first in our latest series, The 12 Leads of Christmas,Â where each day we examine a new finding particular to an individual electrocardiographic lead. The Lead I Sign This patient has COPD. So does this patient. Also, this patient. How do I know that? Well, I met the patients […]

This article is a quasi-cross-post from the website of our good friend Brandon Oto at EMS Basics. He’s been gracious enough to allow us to adapt the original post from his What it Looks Like series over here. We suggest that you go check out the work he does on his site; it’s the epitome of […]

At the risk of plagiarizing myself, I’d like to revisit a topic that I discussed on my personal blog a couple of years ago. The story goes that I am not very good with mnemonics. For me they are almost never useful in clinical practice, and as the patient gets sicker my chances of properly […]

Ken Grauer58 Year Old Male, Workout Worry@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24

Vince DiGiulioIs epinephrine harmful in cardiogenic shock?Sorry about that; I copied the quote from the article and my browser automatically changed the "μ" to an "m". Thanks for noticing, and thanks for pointing it out in the most passive-aggressive manner possible.
2018-09-12 16:45:26

Ken Grauer, MDElectrocardiographically Silent High Lateral STEMI EquivalentHi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03

Eli58 Year Old Male, Workout WorryAnybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21